National Provider Identifier
Lisa M Benedetto, CNM
Lisa M Benedetto, CNM is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife in Ithaca, NY and a listed phone number of (607) 379-9606.
Profile Overview
- NPI
- 1386968899
- Provider Type
- Individual
- Primary Specialty
- Advanced Practice Midwife
- Enumeration Date
- March 26, 2010
- Last Updated
- May 16, 2020
Practice Location
- 132 Indian Creek RD
- Ithaca, NY 14850-1331
Phone: (607) 379-9606
Specialties
- Advanced Practice Midwife (367A00000X)
- Advanced Practice Midwife (367A00000X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1386968899
- Entity Type
- Individual
- Last Name
- Benedetto
- First Name
- Lisa
- Middle Name
- M
- Credential
- CNM
- Mailing Street Address
- 132 Indian Creek RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1331
- Mailing Country
- US
- Mailing Phone
- (607) 379-9606
- Mailing Fax
- (607) 821-4374
- Practice Street Address
- 132 Indian Creek RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1331
- Practice Country
- US
- Practice Phone
- (607) 379-9606
- Practice Fax
- (607) 821-4374
- Enumeration Date
- March 26, 2010
- Last Updated
- May 16, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Advanced Practice Midwife (367A00000X), Advanced Practice Midwife (367A00000X), Nurse Practitioner (363L00000X)
- Other Identifiers
- 26371243 (CO)